Lifeline Health Care of Southwest Florida, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20649096 Issued in FL

Legal business name

LIFELINE HEALTH CARE OF SOUTHWEST FLORIDA, INC.

Doing business as

Lifeline Home Health Care

Practice address

630A Woodbury Dr
Port Charlotte, FL 33954-1000

Phone

(941) 766-9544

Fax

(941) 766-9744

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James T. Wilson

Title

Ceo

Phone

(606) 679-4100

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Home Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942319744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031733",
            "telephone_number": "606-679-4100",
            "fax_number": "606-678-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630A WOODBURY DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541000",
            "telephone_number": "941-766-9544",
            "fax_number": "941-766-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE OF SOUTHWEST FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-679-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20649096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lighthouse Addiction Services

• Home Health Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.